VA/DOD Clinical Practice Guidelines

Management of Chronic Opioid Therapy (COT)


The guideline is formatted as an algorithm, with annotations:

  • Algorithm Management of COT

The guideline describes the critical decision points in the management of Opioid Therapy in patients with chronic pain (COT) and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DoD and VA Health Care systems. The guideline is intented to reduce current practice varaiation and provide facilities with structured framework to improe patient outcome.

Clinical Practice Guideline for Management of Hypertension

icon PDF Full Guideline - COT [2003] (1,870 KB, PDF)

icon PDF Pocket Card - COT [2003] ( 244 KB, PDF)

icon PDF Medications- COT [2003] (170 KB,PDF)